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目的:探讨丙型肝炎病毒(HCV)基因型与干扰素治疗后HCVRNA阴转远期效果的相关性.方法:采用反转录PCR(RT-PCR)方法.结果:干扰素治疗后,经过18mo~26mo的随访,Ⅱ/1b型HCVRNA持续阴转率为20.0%(4/20);Ⅲ/2a型为70.0%(7/10),两型疗效相差非常显著(P<0.01).结论:干扰素治疗丙型肝炎的疗效与丙型肝炎病毒基因型有关,对Ⅲ/2a型的疗效优于Ⅱ/1b.
Objective: To investigate the relationship between hepatitis C virus (HCV) genotypes and long-term effect of HCV RNA on long-term HCV RNA after interferon treatment. Methods: Reverse transcription PCR (RT-PCR) was used. Results: After 18 months to 26 months of follow-up, the continuous negative conversion rate of type Ⅱ / 1b HCVRNA was 20.0% (4/20) and that of type Ⅲ / 2a was 70.0% (7/10) Type effect difference is very significant (P <0.01). Conclusion: The efficacy of interferon in the treatment of hepatitis C is related to the genotype of hepatitis C virus, and its effect on type Ⅲ / 2a is better than that of type Ⅱ / 1b.